Alan L Campbell, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PSY002630 Issued in GA

Practice address

1551 Jennings Mill Rd
Watkinsville, GA 30677-7244

Phone

(706) 714-2384

NPI assigned

Mar 25, 2016

Last updated

Jul 27, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alan L. Campbell, PH.D.

  • Adult Mental Health Clinic/Center
  • Athens, GA
  • NPI 1588019640
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1316309677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 ELDERBERRY CIR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306054952",
            "telephone_number": "706-714-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 JENNINGS MILL RD",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777244",
            "telephone_number": "706-714-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ALAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "GA",
            "license": "PSY002630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Butler
• Terribia Sade Bynum
• Robert Roy Byrne, M.D.
• Caap Home Visits
• Marley Black Cain
• Alycia Campbell
• John D Campbell, PA-C
• Ross M Campbell, MD
• Melissa Cannon, PA-C
• Marilee Capellan, DPT

• Counseling Psychologist in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• Counseling Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.